Online Affidavit
Please make sure your data is accurate and make changes if needed.
When the form is completed click on SUBMIT at bottom of the page.
* Required
First Name
*
Last Name
*
School Name
*
School Address
*
City
*
State
*
MI
Zip
*
Phone number
*
Days of the week for delivery
*
Monday
Tuesday
Wednesday
Thursday
Friday
Start date
*
End date
*
Number of papers delivered
*
Newspaper name
*
Teacher's email address
*
School Route, Account, or Invoice Number
*
AFFIDAVIT OF DELIVERY (REQUIRED BY AUDITOR)
*
I confirm that our school/teacher(s) received this order of newspapers, which were used in our classroom(s) during the 2008-2009 school year.